Organization Active NPI

A&P Live Better, LLC

Doing business as A and P Superfoodmart Pharmacy

  • Pharmacy
  • Danbury, CT
National Provider Identifier
1427073071
Registry record updated Nov 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacyTaxonomy code 333600000X
License
01665 Issued in CT
Legal business name
A&P LIVE BETTER, LLC
Doing business as
A and P Superfoodmart Pharmacy
Practice address
1 Padanaram Rd
Danbury, CT 06811-4836
Phone
(203) 791-2356
Fax
(203) 791-2358
NPI assigned
Jul 13, 2006
Last updated
Nov 28, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
THE GREAT ATLANTIC & PACIFIC TEA CO., INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 28, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Susan Kijowski
Title
Manager, Regulatory Compliance
Phone
(201) 571-8326

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 01665 CT
Pharmacy 333600000X 01665 CT Primary
Community/Retail Pharmacy 3336C0003X NU

Addresses

Primary practice location

1 Padanaram Rd
Danbury, CT 06811-4836

Mailing address

2 Paragon Dr
Montvale, NJ 07645-1718
Phone (201) 573-9700

Other identifiers 3

IdentifierTypeStateIssuer
004186517OtherCTMEDICAID DME
004187276MedicaidCT
0717592OtherOTHER ID NUMBER-COMMERCIAL NUMBER

Other names 1

  • A AND P SUPERFOODMART PHARMACY Doing business as

National Provider Directory

National Provider Directory
Part of
The Great Atlantic and

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354060800000",
    "number": "1427073071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 PARAGON DR",
            "city": "MONTVALE",
            "state": "NJ",
            "postal_code": "076451718",
            "telephone_number": "201-573-9700",
            "fax_number": "201-571-8335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PADANARAM RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114836",
            "telephone_number": "203-791-2356",
            "fax_number": "203-791-2358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A&P LIVE BETTER, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE GREAT ATLANTIC & PACIFIC TEA CO., INC.",
        "enumeration_date": "2006-07-13",
        "last_updated": "2012-11-28",
        "status": "A",
        "authorized_official_last_name": "KIJOWSKI",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "MANAGER, REGULATORY COMPLIANCE",
        "authorized_official_telephone_number": "201-571-8326"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "01665",
            "primary": false
        },
        {
            "code": "333600000X",
            "taxonomy_group": "",
            "desc": "Pharmacy",
            "state": "CT",
            "license": "01665",
            "primary": true
        },
        {
            "code": "3336C0003X",
            "taxonomy_group": "",
            "desc": "Pharmacy, Community/Retail Pharmacy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID DME",
            "identifier": "004186517",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004187276",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "0717592",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A AND P SUPERFOODMART PHARMACY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.